SECOND REGULAR SESSION

SENATE BILL NO. 889

90TH GENERAL ASSEMBLY


INTRODUCED BY SENATOR HOWARD.

Read 1st time January 20, 2000, and 1,000 copies ordered printed.



TERRY L. SPIELER, Secretary.

3937S.01I


AN ACT

To repeal section 195.070, RSMo Supp. 1999, relating to certified registered nurse anesthetists, and to enact in lieu thereof two new sections relating to the same subject.


Be it enacted by the General Assembly of the State of Missouri, as follows:

Section A.  Section 195.070, RSMo Supp. 1999, is repealed and two new sections enacted in lieu thereof, to be known as sections 195.070 and 335.098, to read as follows:

195.070.  1.  A physician, podiatrist, dentist, registered professional nurse who is duly recognized by the state board of nursing as a registered nurse anesthetist, pursuant to chapter 335, RSMo, or a registered optometrist certified to administer pharmaceutical agents as provided in section 336.220, RSMo, in good faith and in the course of his professional practice only, may prescribe, administer, and dispense controlled substances [or he].  A physician, podiatrist, or dentist may cause the same to be administered or dispensed by a nurse or graduate physician under his direction and supervision.  A registered professional nurse who is duly recognized by the state board of nursing as a registered nurse anesthetist, pursuant to chapter 335, RSMo, may cause the same to be administered or dispensed by a nurse under his direction and supervision.

2.  A veterinarian, in good faith and in the course of his professional practice only, and not for use by a human being, may prescribe, administer, and dispense controlled substances and he may cause them to be administered by an assistant or orderly under his direction and supervision. 3.  A practitioner shall not accept any portion of a controlled substance unused by a patient, for any reason, if such practitioner did not originally dispense the drug.

4.  An individual practitioner may not prescribe or dispense a controlled substance for such practitioner's personal use except in a medical emergency.

335.098.  Registered professional nurses who are duly recognized by the state board of nursing as registered nurse anesthetists, pursuant to this chapter, shall have the authority to prescribe and administer those drugs and devices, including controlled substances, customarily utilized by them in their capacity and role as registered nurse anesthetists as part of medical procedures performed by physicians, podiatrists and dentists.  This authority shall be exercisable within the peri-operative setting period of twenty-four hours prior to scheduled surgery and forty-eight hours following surgery.  Registered nurse anesthetists shall have the authority to cause the same to be administered by others duly licensed pursuant to this chapter within the same peri-operative setting and period.




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